Active NPI
Amy Bernstein, MA CCC SLP
- Speech-Language Pathologist
- Freehold, NJ
National Provider Identifier
1417028705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS00387300
- Practice address
- 900 W Main St Ste 4
Freehold, NJ 07728-2523 - Phone
- (732) 431-3602
- Fax
- (732) 431-3603
- NPI assigned
- Nov 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS00387300 | NJ | Primary |
Addresses
Primary practice location
900 W Main St Ste 4
Freehold, NJ 07728-2523
Mailing address
900 W Main St
Suite 4
Freehold, NJ 07728-2523
Phone (732) 431-3602
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41YS00387300 | Other | NJ | SPEECH PATHOLOGIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS00387300 | NJ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373241600000",
"number": "1417028705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 W MAIN ST",
"address_2": "SUITE 4",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282523",
"telephone_number": "732-431-3602",
"fax_number": "732-431-3603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 W MAIN ST STE 4",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282523",
"telephone_number": "732-431-3602",
"fax_number": "732-431-3603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNSTEIN",
"first_name": "AMY",
"name_prefix": "Mrs.",
"credential": "MA CCC SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-10",
"last_updated": "2013-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00387300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPEECH PATHOLOGIST",
"identifier": "41YS00387300",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.